Healthcare Provider Details

I. General information

NPI: 1508513615
Provider Name (Legal Business Name): VALENZUELA AND ASSOCIATES, PSYCHOLOGISTS, A PROFESSIONAL CORPO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 E MATILIJA ST
OJAI CA
93023-2639
US

IV. Provider business mailing address

226 W OJAI AVE STE 101-352
OJAI CA
93023-3277
US

V. Phone/Fax

Practice location:
  • Phone: 805-766-7724
  • Fax:
Mailing address:
  • Phone: 805-766-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN A VALENZUELA
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 805-766-7724